Unknown Individual – Obstetrics & Gynecology Physician, NPI 1801017397
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
510 E MEMORIAL RD STE B4
OKLAHOMA CITY, OK 731142218
Phone: (405) 843-5855
Fax: (405) 843-5865
Type: Mailing
1211 N SHARTEL AVE
OKLAHOMA CITY, OK 731032400
Phone: (405) 367-7824
Type: Location
2100 W Iowa Ave
Suite A
Chickasha, OK 730182736
Phone: (405) 224-2100
Fax: (405) 779-2166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73114)
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